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DiscussionSpine conditions: Told I would not walk without surgery
Spine Health | Last Active: Feb 13, 2024 | Replies (63)Comment receiving replies
Replies to "Thanks for your reply. Yes I am going to a neurosurgeon and after consulting with a..."
I had two decompression surgeries several years apart. At my first surgery I had an L4 hemilaminotomy and an L5 hemilaminectomy with a partial removal of the herniated disc at that level. For my second surgery he enlarged the L5 partial hemilaminectomy and did a revision decompression of both the L5 and S1 neve roots. When I needed surgery the third, I had no choice but to have a fusion of L4-S1. After a decompression surgery, most if not all of your pain should be gone at least for a few years. I still have sciatic pain after my fusion but if I sit or do a stretch, that pain goes away quickly and I can resume whatever I was doing. The only other thing I have done after recovery from any back surgery was to either walk or as I suggested, swim. It has been almost four years since my fusion and I have pain everyday but it is not constant. L2 and L3 above my fusion which were a problem before my surgery are gradually getting worse. I have no pain in the area of the fusion. At the time of the surgery, the doctors felt it would be better to just do the two levels as that wouldn't interfere with my mobility as much as a three or four level fusion would have. My neurosurgeon was Dr. Richard Marsh at Mayo Clinic in Rochester. He has done all of my surgeries. The orthopedic surgeon who was a part of my fusion surgery is no longer with the clinic. I believe he was involved in a research project while he was there. I live in the Upper Peninsula of Michigan near Lake Superior, 400 miles from Rochester. I hope you will at least try once to do water therapy. Pool exercises will put little to no compression on your spine, allowing you to work out without worsening your back problems. I always feel better for several hours after I have been at the pool. My other tip is to sit or stand straight and tall. Don't limp or favor one leg over the other! When you limp you are throwing your spine out of alignment and this will aggravate your back pain and cause more back pain.
@annie1027 Annie, Did the doctor explain exactly what decompression surgery is? They have to remove something to decompress a nerve. If that is part of an extruded herniated disc that is outside the spinal canal, sometimes that is removed, and those tend to re-herniate. These are questions to ask the surgeon. They are the expert to know what is best or what your options are. If a disc is bad and must be removed, something has to be placed in that space. It could be a bone disc for a fusion or it could be an artificial disk. A laminectomy cuts bone to enlarge the spinal canal, and doesn't remove a disc. Sometimes that is done along with disc removal and fusion. Every procedure has risks and outcomes. It's always a bit of a compromise and it won't be like never having had a spine problem. It is always good to get several opinions from surgeons you trust. Generally speaking, spine surgery at the lower end of the spine is a more difficult recovery and may have less predictable outcomes than cervical spine surgery. Leg issues and cramping may be caused by a cervical spine problem such as spinal cord compression or it may be caused by a lumbar spine problem.
Jennifer